Individual
KRISTIN CAHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1011 DESPERADO TRL, SISTERS, OR 97759-9580
(541) 549-3574
(541) 549-1092
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
60380
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500670645
—
OR
01
—
P01853415
RR MEDICARE
OR
Enumeration date
04/16/2014
Last updated
08/01/2017
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